Please explain

[stmichael]

Guys,these are my lab results:Can you help me make some sense out of it?What does my doctor mean when he says i have chronic inactive hepatitis b.i'm scared

TEST                     RESULT             UNIT           NOTE              REFERENCE RANGE
1.HBsAg                3409                                     positive

2.Anti-HBs              <2.00                 IU/l            below range          2.0-10.0

3.Anti-Hbe              0.003                  COL            positive

4.HBeAg                0.088                   COL           negative

5.Anti-HBc             0.013                   COL            positive

6.Anti-Hbclgm        0.037                   COL             negative

7.ALT(SGPT)         9.0                        IU/l                                               <41

IMPRESSION:

1.Positive A-HBe and Negative HBeAg suggest chronic inactive infection

2.ESR LEVEL IS NORMAL

3.LFT's-NAD

4.BUE and CR-NAD

5.ESR-10mmfall/L (0-20)F  (0-15)M

ABDOMINAL SCAN:

IMPRESSION: Normal abdorminal scan

FURTHER TESTS:

TEST NAME                  RESULT            UNITS                   REFERENCE RANGE
1.Sodium                        135                  mmol/l                    135-155

2.Potassium                    3.4                   mmol/l                    3.5-5.3

3.Urea                              3.7                  mmol/l                    1.7-8.3

4.Creatinine                     0.9                    mg/dl                      (0.9-1.6)M

5.Total Protein                 6.8                     g/dl                       6.4-8.3

6.Albumen                       3.3                     g/dl                       3.5-5.2

7.Total Bilirubin                0.8                     mg/l                       0.1-1.2

8.Direct Bilirubin               0.2                     mg/l                       < 0.2

9.Alk.Phosphatase           17                       IU/l                        9.0-35

10.AST(SGOT)                 17                       IU/l                        5.0-40

11.ALT(SGPT)                  9                        IU/l                          1
HBsAg: Reactive
ESR: 10MMFALL/HR (0-15)M
LFTS: NAD
BUE & CR: NAD

[cajim]

what exactly do you mean by stable?

--Less activity now.

does chronic mean i will have to live with it for life?

--Not absolutely.

by stable do you mean there can be no deterioration if i stay off alcohol ven without medication?

--No.  It means now it is stable and does not predict the future.  Alcohol?   No! No! No!

[stevenNYer]

"inactive" is a misleading term.  Those with chronic HepB have viral activity / replication, period.  Those with "inactive" disease actually means you have low viral activity / replication at this time.  That could change in time.  That's why it's important to monitor your DNA to determine the level of viral activity / replication.

[stmichael]

what exactly do you mean by stable?does chronic mean i will have to live with it for life? by stable do you mean there can be no deterioration if i stay off alcohol ven without medication? help please

[cajim]

Indeed, you have chronic HepB but your ALT and AST are normal, you are HBeAg is negative and HBeAB positive, meaning you are stable.  Do you have your DNA?